HOP2015-00003 CITY OF TIGARD HOME OCCUPATION PERMIT
COMMUNITY DEVELOPMENT Permit#: HOP2015-00003
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 01/20/2015
Parcel: 2S115AA00100
Jurisdiction: Tigard
Applicant Name: Tea&Sugar Creations HOP
Business Address: 16182 SW 108TH AVE 189
Nature of Business: Type 1 home occupation for business that creates products from repurposed materials.
Business Name: Tea and Sugar Creations Generate Extrn Noise: No
Sq Ft-Detached: Days/Hours of Operation:
Sq Ft-Residence: Bus.Vehicles Garaged @ Res:
Sq Ft-Business: Outside Storage: None
SIC Code: Exterior Sign?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: No
Acknowledgement:
I understand this Home Occupation Permit is approved for the above described business at the specified location only,
and does not require renewal. Further, I understand that the City of Tigard Business Tax must be renewed annually in
order to maintain permit authorization.
I acknowledge that this Home Occupation Permit approval may be revoked if the conditions and standards of approval
have not been complied with and/or this home occupation is otherwise being conducted in a manner contrary to the
Tigard Community Development Code(18.742). Permit revocation due to a violation of requirement(s)of this Home
Occupation Permit cannot be renewed for a minimum period of one year. (18.742.070).
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Approved By Permittee Signature
1111 CITY OF TIGARD RECEIPT
4
s 11 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 199053 - 01/20/2015
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2015-00003 Home Occupation Permit-Type I-LRP 100-0000-43117 $15.00
HOP2015-00003 Home Occupation Permit-Type I 100-0000-43116 $103.00
Total: $118.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1102 BGALICIA 01/20/2015 $118.00
Payor Sarah L Lane&Charles Lane 4058 E Jasper DR Gilbert,AZ 85296
Total Payments: $118.00
Balance Due: $0.00
Page 1 of 1
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City of Tigard JAN 14 2015
TIGARD Home Occupation — Type I Application[; o
GENERAL INFORMATION
Property Address/Location: X6100 5W Ins;'µ'` AVE; I Gard, OR 4-Ia.,y
Tax Map&Tax Lot#: .251(5 AA CO 1 OO Zone:
Property Owner/Deed Holder(s)*: Br,5htwat P.ed haw K 014 P Terrace Managd 6 LTPM Piaci es-
Address: 10100 .SW I D$'`' AVE Phone: 5o3-6f 41 -goo°
City/State: Tyutd/0 R Zip: q'W 9
Applicant*: $afaii Lane
Address: 1 S.) I 0534' A ' A P{. I89 Phone: 603-53F-5331
City/State: Marcy c1/O. Zip: �7d,)Li E-mail: •• . • a . r a r, r' r o Q3�'1
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Business Name: Tea and Swig r C feak,o(tS
Nature of Business: 011i, c f cx VI rid Ccetti∎DAs cc rPpurposu1 Malec AiS
Business Phone: b0P-538- 53 I
*When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession
with written authorization from the owner or an agent of the owner. The owner(s)must sign this application
FOR STAFF USE ONLY REQUIRED SUBMITTAL ELEMENTS
Case/Permit No.: 41 0 P 201 S- 0000 3
Filing Fee Rec'd: $ ( 1 00
Receipt No. ® Application Form
Application Approved By: C:C.-
Date Approved: 12 Owner's Signature/Written Authorization
Comp Plan/Zone Designation: 121 Proof of Business License Certificate
Filing Fee
Business License Paid Yes No ❑
Business License Receipt No. 0 I Woo �✓
Revised: 6/24/2013
I:\CURPIN\Masons\Land Use Applications\Home occprtion-Type I.doc
City of Tigard I 13125 SW Flail Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 1 of 2
HOME OCCUPATION CONDITIONS AND STANDARDS
1. Home occupations may be undertaken only by the principal occupant(s)of a residential property;
2. There shall be no more than three deliveries per week to the resident by suppliers;
3. There shall be no offensive noise,vibration,smoke,dust,odors,heat or glare noticeable at or beyond the property line resulting from the
operation.Home occupations shall observe the provisions of TDC Chapter 18.725(Environment Performance Standards);
4. The home occupation shall be operated entirely within the dwelling unit and a conforming accessory structure. The total area which may
be used in the accessory building for either material product storage and/or the business activity shall not exceed 528 square feet
Otherwise,the home occupation and associated storage of material and products shall not occupy more than 25 percent of the combined
residence and accessory structure gross floor area. The indoor storage of materials or products shall not exceed the limitations imposed
by the provision of the building,fire,health and housing codes;
5. A home occupation shall not make necessary a change in the Uniform Building Code use classification of a dwelling unit Any accessory
building that is used must meet Uniform Building Code requirements.
6. More than one business activity constituting two or more home occupations shall be allowed on one property only if the combined floor
space of the business activities does not exceed 25 percent of the combined gross floor area of the residence and accessory structure.
Each home occupation shall apply for a separate home occupation permit,if required per this chapter,and each shall also have separate
Business License Certificates;
7. There shall be no storage and/or distribution of toxic or flammable material,and spray painting or spray finishing operations that involve
toxic or flammable material which in the judgment of the Fire Marshall pose a dangerous risk to the residence,its occupants, and/or
surrounding properties. Those individuals who are engaged in home occupation shall make available to the Fire Marshall for review that
Material Safety Data Sheets which pertain to all potentially toxic and/or flammable materials associate with the use;
8. No home occupation shall require any on or off-street parking other than that normally required for a residence;
9. The following uses are not allowed as home occupations:
a.) Auto-body repair and painting;
b.) On-going mechanical repair conducted outside of an entirely enclosed building,
c.) Junk and salvage operations;and
d.) Storage and/or sale of fireworks.
10. There shall be no exterior storage of vehicles of any kind used for the business except that one commercially licensed vehicle of not more
than three-quarters ton GVW may be parked outside of a structure or screened area.
In addition,a Home Occupation Type I shall not permit
A. Outside volunteers or employees to be engaged in the business activity other than the persons principally residing on the premises;
B. Exterior signage which identifies the property as a business location;
C. Clients or customers to visit the premises for any reason;and
D. Exterior storage of materials.
I (applicant) hereby certify that I have read and understand the above conditions and standards for the operation of a home
occupation. I acknowledge that this home occupation approval may be revoked if the above conditions and standards have not
been complied with and/or the home occupation is otherwise being conducted in a manner contrary to the Tigard Community
Development Code (18.742). Revocation due to a violation of the home occupation requirement(s) cannot be renewed for a
minimum period of one year(18.742.080).
Applicant's Signature Date
Owner's Signature Date
Owner's Signature Date
. 12 29 itl
Authorized Agent'sdliTonature Date
GrtS3e —4&1- - Lola. 1'\anc ¢r 563• C.Ec1 - goon
Print Name Title Phone Number
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 of 2
APPLICATION FOR REGISTRATION
of o E-FILED
Corporation Division
xttr.. o Nov 07,2014
@:a, � .:: www.filinginoregon.com OREGON SECRETARY OF STATE
r
`
REGISTRY NUMBER
106044993
TYPE
ASSUMED BUSINESS NAME
ENTITY NAME
TEA&SUGAR CREATIONS
BUSINESS ACTIVITY
ONE OF A KIND CREATIONS MADE FROM REPURPOSED MATERIALS.
PRINCIPAL PLACE OF BUSINESS
16182 SW 108TH AVE APT 189
PORTLAND OR 97224 USA
NAME&ADDRESS OF AUTHORIZED REPRESENTATIVE
SARAH LYNN LANE
16182 SW 108TH AVE APT 189
PORTLAND OR 97224 USA
REGISTRANT/OWNER
SARAH LYNN LANE
16182 SW 108TH AVE APT 189
PORTLAND OR 97224 USA
COUNTIES
CLACKAMAS, MULTNOMAH,WASHINGTON
Page 1
r Corporation Division
• ` www.filin more on.com
q 9 OREGON SECRETARY OF STATE
J859
By my signature, I declare as an authorized authority,that this filing has been examined by me and is,to the best
of my knowledge and belief,true, correct,and complete. Making false statements in this document is against the
law and may be penalized by fines,imprisonment,or both.
By typing my name in the electronic signature field, I am agreeing to conduct business electronically with the
State of Oregon. I understand that transactions and/or signatures in records may not be denied legal effect
solely because they are conducted,executed,or prepared in electronic form and that if a law requires a record or
signature to be in writing, an electronic record or signature satisfies that requirement.
ELECTRONIC SIGNATURE
NAME
SARAH LYNN LANE
TITLE
REGISTRANT
DATE SIGNED
11-07-2014
Page 2